Abstract
Research has shown that nursing interventions are able to affect short-term outcomes in patients with injury. However, evidence based on a comprehensive nurse-led intervention may be beneficial for trauma care. This study was designed to assess the effect of a nursing intervention on the illness perceptions and quality of life of patients with injury. A two-group experimental design and a follow-up period of 12 months were used. Ninety-four patients were randomly assigned to either the experimental group or the control group. A nurse-led cognitive behavioral therapy intervention was used to improve outcomes. The illness perception variables of "personal control" and "treatment control" were found to be significantly improved in the experimental group at 3 months after discharge, whereas "emotional perception" was significantly improved at 6 months after discharge. The intervention was also shown to improve "social quality of life" at 6 and 12 months after injury. This study adds new knowledge related to nursing interventions for patients with injury in terms of the intervention achieving longer-term effects than the interventions examined in previous studies. The results highlight the importance of providing interprofessional collaborative care. However, the intervention protocol should be tested further in future studies.
Highlights
Injury is the leading cause of death among people aged 45 years and younger in many countries, including the United States (Centers for Disease Control and Prevention, 2016), the United Kingdom (Kanani & Hartshorn, 2016), and Taiwan (Ministry of Health and Welfare, National Health Insurance Administration, Taiwan, ROC, 2019)
This study adds new knowledge related to nursing interventions for patients with injury in terms of the intervention achieving longer-term effects than the interventions examined in previous studies
The results show that the interaction effect of the intervention over time was significant at 3 months in the personal control domain (B = 1.26, p < .05) and the treatment control domain (B = 1.50, p < .01), indicating that improvement from baseline to 3 months was greater in the experimental group than in the control group
Summary
Injury is the leading cause of death among people aged 45 years and younger in many countries, including the United States (Centers for Disease Control and Prevention, 2016), the United Kingdom (Kanani & Hartshorn, 2016), and Taiwan (Ministry of Health and Welfare, National Health Insurance Administration, Taiwan, ROC, 2019). One study performed follow-up assessments of patients at 3 months and 1 year after injury, reporting that patients with visible injuries may have poor psychological health and posttraumatic stress disorder (PTSD) at 12 months after injury (Baecher et al, 2018). Another retrospective study found that the long-term physical functioning and quality of life. Purpose: This study was designed to assess the effect of a nursing intervention on the illness perceptions and quality of life of patients with injury. The patients in the intervention group achieved significant improvements in physical function over the 1-year posttest period
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